{"id":26339,"date":"2023-05-06T00:35:27","date_gmt":"2023-05-05T17:35:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26339"},"modified":"2023-05-06T00:35:27","modified_gmt":"2023-05-05T17:35:27","slug":"dieu-tri-ban-dau-da-chan-thuong-tai-benh-vien","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/dieu-tri-ban-dau-da-chan-thuong-tai-benh-vien\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u \u0111a ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i b\u1ec7nh vi\u1ec7n"},"content":{"rendered":"<p><strong>Nh\u1eb1m ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng \u0111ang tr\u1ef1c ti\u1ebfp \u0111e d\u1ecda t\u00ednh m\u1ea1ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng, nh\u1eefng th\u01b0\u01a1ng t\u1ed5n n\u1ebfu kh\u00f4ng x\u1eed tr\u00ed k\u1ecbp th\u1eddi b\u1ec7nh nh\u00e2n s\u1ebd t\u1eed vong. H\u1ec7 th\u1ed1ng ti\u1ebfp c\u1eadn ABCDE l\u00e0 bi\u1ec7n ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u trong c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/strong><\/p>\n<p><strong>1. Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf (A \u2013 Airway):<\/strong><\/p>\n<p>&#8211; \u0110\u00e2y l\u00e0 c\u00f4ng vi\u1ec7c \u0111\u1ea7u ti\u00ean trong \u0111a ch\u1ea5n th\u01b0\u01a1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 do c\u00e1c t\u1ed5n th\u01b0\u01a1ng:<\/p>\n<ul>\n<li>Ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5.<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng h\u00e0m m\u1eb7t, c\u00f3 m\u00e1u, d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/li>\n<li>B\u1ecfng h\u00f4 h\u1ea5p, m\u1eb7t, c\u1ed5.<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng c\u1ed5 c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng kh\u00ed qu\u1ea3n.<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng, v\u1ebft th\u01b0\u01a1ng ng\u1ef1c.<\/li>\n<\/ul>\n<p>&#8211; Bi\u1ec7n ph\u00e1p: \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o l\u01b0u th\u00f4ng \u0111\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u b\u1eb1ng bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n nh\u01b0 \u0111\u1eb7t t\u01b0 th\u1ebf \u0111\u1ea7u b\u1ec7nh nh\u00e2n, \u01b0\u1ee1n c\u1ed5, n\u00e2ng h\u00e0m, c\u1ed1 \u0111\u1ecbnh c\u1ed5 trong t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5, l\u1ea5y d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf, lau h\u00fat \u0111\u1eddm d\u00e3i trong mi\u1ec7ng v\u00e0 kh\u00ed qu\u1ea3n. C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf nh\u01b0: \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, m\u1edf m\u00e0ng s\u1ee5n gi\u00e1p nh\u1eabn ho\u1eb7c m\u1edf kh\u00ed qu\u1ea3n n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone\" src=\"https:\/\/dcs-blog-wp.s3.ap-southeast-1.amazonaws.com\/wp-content\/uploads\/2021\/09\/imgp5571.jpg\" alt=\"\u1ea2nh minh h\u1ecda \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n\" width=\"1023\" height=\"683\" \/><\/p>\n<p><strong>2. \u0110\u1ea3m b\u1ea3o th\u00f4ng kh\u00ed (B \u2013 Breathing):<\/strong><\/p>\n<p>C\u00e1c t\u1ed5n th\u01b0\u01a1ng ng\u1ef1c \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n k\u1ecbp th\u1eddi b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ph\u1ea3i x\u1eed tr\u00ed kh\u1ea9n c\u1ea5p \u0111\u00f3 l\u00e0:<\/p>\n<ul>\n<li>Tr\u00e0n kh\u00ed m\u00e0n ph\u1ed5i \u00e1p l\u1ef1c v\u00e0 tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i n\u1eb7ng.<\/li>\n<li>M\u1ea3ng s\u01b0\u1eddn di \u0111\u1ed9ng.<\/li>\n<li>Tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i n\u1eb7ng.<\/li>\n<li>V\u1ebft th\u01b0\u01a1ng ng\u1ef1c h\u1edf.<\/li>\n<li>Ch\u00e8n \u00e9p tim c\u1ea5 do tr\u00e0n m\u00e1u m\u00e0ng tim.<\/li>\n<\/ul>\n<p><strong>3. \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng tu\u1ea7n ho\u00e0n v\u00e0 c\u1ea7m m\u00e1u (C \u2013 Circulation):<\/strong><\/p>\n<p>&#8211; Ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p:<\/p>\n<ul>\n<li>L\u1eadp 2 \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch: t\u0129nh m\u1ea1ch ngo\u1ea1i vi v\u00e0 t\u0129nh m\u1ea1ch trung \u01b0\u01a1ng.<\/li>\n<li>Nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng (m\u1ea1ch, huy\u1ebft \u00e1p, \u00e1o l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m) l\u1ea5y m\u00e1u l\u00e0m x\u00e9t nghi\u1ec7m.<\/li>\n<li>\u0110\u1eb7t th\u00f4ng b\u00e0ng quang theo d\u00f5i n\u01b0\u1edbc ti\u1ec3u 24h, thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, \u0111\u1ed9 b\u00e3o h\u00f2a oxy.<\/li>\n<li>Ch\u1ed1ng ch\u1ea3y m\u00e1u ngo\u00e0i: b\u0103ng b\u00f3, k\u1eb9p m\u1ea1ch, garo.<\/li>\n<li>Nhanh ch\u00f3ng kh\u00f4i ph\u1ee5c m\u00e1u l\u01b0u h\u00e0nh: l\u01b0\u1ee3ng m\u00e1u, d\u1ecbch c\u1ea7n b\u00f9 ph\u1ee5 thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng m\u00e1u m\u1ea5t v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng.<\/li>\n<\/ul>\n<p><strong>4. \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng h\u1ec7 th\u1ea7n kinh (D \u2013 Disability):<\/strong><\/p>\n<p>\u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh trung \u01b0\u01a1ng trong giai \u0111o\u1ea1n c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng b\u01b0\u1edbc \u0111\u1ea7u b\u1eb1ng thang \u0111i\u1ec3m Glasgow v\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u1ed3ng t\u1eed.<\/p>\n<p><strong>5. B\u1ed9c l\u1ed9 v\u00e0 \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n (E \u2013 Exposure):<\/strong><\/p>\n<p>B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c c\u1edfi b\u1ecf qu\u1ea7n \u00e1o v\u00e0 b\u1ed9c l\u1ed9 ho\u00e0n to\u00e0n, khi \u0111\u00f3 b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1eef \u1ea5m, nhi\u1ec7t \u0111\u1ed9 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/p>\n<p>&#8211; \u0110\u00e1nh gi\u00e1 \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1eddng th\u1edf v\u00e0 ki\u1ec3m so\u00e1t t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n<ul>\n<li>\u0110\u1ea3m b\u1ea3o s\u1ef1 th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf.<\/li>\n<li>B\u1ea5t \u0111\u1ed9ng v\u1eefng ch\u1eafc c\u1ed9t s\u1ed1ng c\u1ed5.<\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh d\u00f9ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p khai th\u00f4ng h\u00f4 h\u1ea5p<\/li>\n<\/ul>\n<p>&#8211; \u0110\u00e1nh gi\u00e1 v\u00e0 \u0111\u1ea3m b\u1ea3o h\u00f4 h\u1ea5p.<\/p>\n<ul>\n<li>Ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed ngay c\u00e1c t\u1ed5n th\u01b0\u01a1ng trong khoang ng\u1ef1c \u1ea3nh h\u01b0\u1edfng th\u00f4ng kh\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o nh\u1ecbp th\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c g\u1ea7n b\u00ecnh th\u01b0\u1eddng, l\u1ed3ng ng\u1ef1c di \u0111\u1ed9ng t\u1ed1t, b\u1ec7nh nh\u00e2n h\u1ebft t\u00edm, SpO2 &gt; 95%.<\/li>\n<\/ul>\n<p>Sau khi l\u00e0m th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf, c\u1ea7n nhanh ch\u00f3ng \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed c\u1ee7a b\u1ec7nh nh\u00e2n: quan s\u00e1t th\u1edf t\u1ef1 nhi\u00ean, di \u0111\u1ed9ng l\u1ed3ng ng\u1ef1c m\u1ed9t ho\u1eb7c hai b\u00ean, ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u m\u1ea3ng s\u01b0\u1eddn di \u0111\u1ed9ng.<\/p>\n<p>\u0110\u1ebfm t\u1ea7n s\u1ed1 th\u1edf, nghe ti\u1ebfng th\u1edf, \u0111o b\u00e3o h\u00f2a oxy SpO2 n\u1ebfu c\u00f3 \u0111i\u1ec1u ki\u1ec7n. G\u00f5 l\u1ed3ng ng\u1ef1c v\u00e0 nghe ph\u1ed5i 2 b\u00ean \u0111\u1ec3 ph\u00e1t hi\u1ec7n tr\u00e0n kh\u00ed tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n<p>Hai th\u0103m d\u00f2 c\u01a1 b\u1ea3n, quan tr\u1ecdng c\u1ea7n l\u00e0m ngay t\u1ea1i ch\u1ed7 \u0111\u1ec3 gi\u00fap cho ch\u1ea9n \u0111o\u00e1n: X-quang ng\u1ef1c th\u1eb3ng v\u00e0 si\u00eau \u00e2m \u0111\u1ecbnh h\u01b0\u1edbng ch\u1ea5n th\u01b0\u01a1ng khi nghi ng\u1edd.<\/p>\n<p>&#8211; \u0110\u00e1nh gi\u00e1, \u0111\u1ea3m b\u1ea3o huy\u1ebft \u0111\u1ed9ng v\u00e0 c\u1ea7m m\u00e1u.<\/p>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u v\u00e0 th\u1ec3 t\u00edch l\u00f2ng m\u1ea1ch.<\/li>\n<li>Kh\u00f4i ph\u1ee5c th\u1ec3 t\u00edch l\u00f2ng m\u1ea1ch n\u1ebfu c\u00f3 gi\u1ea3m th\u1ec3 t\u00edch l\u00f2ng m\u1ea1ch.<\/li>\n<li>Ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u, theo d\u00f5i v\u00e0 \u0111\u1ecbnh k\u1ef3 t\u00e1i kh\u00e1m l\u1ea1i.<\/li>\n<\/ul>\n<p>Ghi ECG \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nh\u1ecbp tim.<\/p>\n<p>\u0110\u1ec3 gi\u00fap t\u00ecm ki\u1ebfm ngu\u1ed3n g\u1ed1c m\u1ea5t m\u00e1u trong, c\u00f3 th\u1ec3 l\u00e0m si\u00eau \u00e2m \u0111\u1ecbnh h\u01b0\u1edbng nhanh (FAST), ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 ch\u1ee5p X-quang ph\u1ed5i, X-quang khung ch\u1eadu, CT Scan b\u1ee5ng (n\u1ebfu b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh).<\/p>\n<p>H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ed1c trong ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ec1u l\u00e0 s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch do ch\u1ea3y m\u00e1u. N\u1ebfu ph\u00e1t hi\u1ec7n c\u00f3 \u0111i\u1ec3m ch\u1ea3y m\u00e1u ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n ho\u1eb7c nguy c\u01a1 r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng c\u1ea7n ph\u1ea3i:<\/p>\n<ul>\n<li>\u1ea4n m\u1ea1nh n\u01a1i c\u00f3 ch\u1ea3y m\u00e1u ngo\u00e0i (tr\u00ean \u0111\u01b0\u1eddng \u0111i c\u1ee7a m\u1ea1ch m\u00e1u), b\u0103ng \u00e9p c\u00f3 tr\u1ecdng \u0111i\u1ec3m, b\u1ea5t \u0111\u1ed9ng c\u00e1c x\u01b0\u01a1ng g\u00e3y.<\/li>\n<li>\u0110\u1eb7t 2 \u0111\u01b0\u1eddng truy\u1ec1n ngo\u1ea1i bi\u00ean \u0111\u01b0\u1eddng k\u00ednh l\u1edbn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o c\u00e1c t\u0129nh m\u1ea1ch l\u1edbn v\u00f9ng khu\u1ef7u ho\u1eb7c m\u1eb7t tr\u01b0\u1edbc c\u00e1nh tay, n\u1ebfu c\u1ea7n c\u00f3 th\u1ec3 \u0111\u1eb7t catheter t\u0129nh m\u1ea1ch trung t\u00e2m. \u0110\u1ed1i v\u1edbi tr\u1ebb em, n\u1ebfu l\u1ea5y \u0111\u01b0\u1eddng truy\u1ec1n ngo\u1ea1i bi\u00ean kh\u00f3 kh\u0103n, c\u00f3 th\u1ec3 n\u00ean \u0111\u1eb7t \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch hi\u1ec3n l\u1edbn.<\/li>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c m\u1ea5t m\u00e1u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c th\u00ec s\u1ebd chuy\u1ec3n nhanh v\u00e0o ph\u00f2ng m\u1ed5 \u0111\u1ec3 m\u1ed5 c\u1ea5p c\u1ee9u c\u1ea7m m\u00e1u.<\/li>\n<\/ul>\n<p>&#8211; Ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng th\u1ea7n kinh v\u00e0 c\u00e1c thu\u1ed1c \u0111\u00e3 d\u00f9ng.<\/p>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 nhanh t\u00ecnh tr\u1ea1ng \u00fd th\u1ee9c v\u00e0 t\u00ecnh tr\u1ea1ng th\u1ea7n kinh ngay sau khi ki\u1ec3m so\u00e1t s\u01a1 b\u1ed9 \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng th\u1edf, th\u00f4ng kh\u00ed v\u00e0 tu\u1ea7n ho\u00e0n b\u1eb1n thang \u0111i\u1ec3m AVPU.<\/li>\n<li>Kh\u00e1m \u0111\u1ed3n t\u1eed (k\u00edch th\u01b0\u1edbc v\u00e0 ph\u1ea3n x\u1ea1 \u0111\u1ed3ng t\u1eed v\u1edbi \u00e1nh s\u00e1ng).<\/li>\n<li>\u0110\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/thang-diem-glasgow-la-gi-y-nghia-thang-diem-glasgow-trong-hon-me\/\">thang \u0111i\u1ec3m Glasgow<\/a>.<\/li>\n<\/ul>\n<p>Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 th\u1ea7n kinh chi ti\u1ebft s\u1ebd th\u1ef1c hi\u1ec7n sau khi \u0111\u00e3 \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u v\u00e0 x\u1eed tr\u00ed h\u1ed3i s\u1ee9c \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n. Cho d\u00f9 c\u00f3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u00fd th\u1ee9c c\u0169ng kh\u00f4ng n\u00ean ch\u1ee5p CT Scan n\u00e3o ngay m\u00e0 c\u1ea7n \u0111\u1ee3i cho t\u1edbi khi th\u1ef1c hi\u1ec7n xong x\u1eed tr\u00ed, t\u00ecnh tr\u1ea1ng tu\u1ea7n ho\u00e0n v\u00e0 h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1ea1m \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Khi t\u1edbi b\u1ec7nh vi\u1ec7n d\u00f9 \u00fd th\u1ee9c b\u1ec7nh nh\u00e2n c\u00f2n t\u1ed1t nh\u1eefng v\u1eabn c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9t ng\u1ed9t x\u1ea5u \u0111i, ph\u1ea3i \u0111\u00e1nh gi\u00e1 l\u1ea1i m\u1ee9c \u0111\u1ed9 \u00fd th\u1ee9c nhi\u1ec1u l\u1ea7n, n\u1ebfu t\u00ecnh tr\u1ea1ng \u00fd th\u1ee9c tr\u1edf n\u00ean suy \u0111\u1ed3i \u0111i, CT Scan \u0111\u1ec3 xem x\u00e9t l\u1ea1i t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>Khai th\u00e1c ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng ch\u1ea5t k\u00edch th\u00edch, ch\u1ea5t ma t\u00fay v\u00e0 c\u00e1c thu\u1ed1c \u0111\u00e3 d\u00f9ng tr\u01b0\u1edbc khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n,\u2026<\/p>\n<p>&#8211; B\u1ed9c l\u1ed9 \u0111\u1ec3 quan s\u00e1t to\u00e0n th\u00e2n v\u00e0 ki\u1ec3m so\u00e1t m\u00f4i tr\u01b0\u1eddng, th\u00e2n nhi\u1ec7t.<\/p>\n<ul>\n<li>C\u1edfi b\u1ecf qu\u1ea7n \u00e1o \u0111\u1ec3 d\u1ec5 d\u00e0ng th\u0103m kh\u00e1m, tr\u00e1nh b\u1ecf x\u00f3t t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n t\u1ec9nh v\u00e0 \u1ed5n \u0111\u1ecbnh: c\u00f3 th\u1ec3 c\u1edfi b\u1ecf nh\u1eb9 nh\u00e0ng qu\u1ea7n \u00e1o n\u01b0hng ph\u1ea3i gi\u1eef c\u1ed9t s\u1ed1ng th\u1eb3ng tr\u1ee5c.<\/li>\n<li>Sau khi c\u01a1i b\u1ecf qu\u1ea7n \u00e1o c\u1ea7n \u0111\u1eafp b\u1ec7nh nh\u00e2n b\u1eb1ng ch\u0103n \u1ea5m ho\u1eb7c c\u00e1c t\u1ea5m ga \u0111\u1ec3 tr\u00e1nh m\u1ea5t nhi\u1ec7t v\u00e0 \u0111\u1ea3m b\u1ea3o k\u00edn \u0111\u00e1o.<\/li>\n<li>C\u1ea7n ch\u00fa \u00fd theo d\u00f5i th\u00e2n nhi\u1ec7t th\u01b0\u1eddng xuy\u00ean.<\/li>\n<li>Sau khi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1edfi b\u1ecf qu\u1ea7n \u00e1o ho\u00e0n to\u00e0n ph\u1ea3i quan s\u00e1t b\u1ec7nh nh\u00e2n t\u1eeb tr\u01b0\u1edbc ra sau, t\u1eeb tr\u00ean xu\u1ed1ng d\u1edbi v\u00e0 th\u0103m kh\u00e1m m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn tr\u00e1nh b\u1ecf x\u00f3t t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1eb7t th\u00f4ng ti\u1ec3u \u0111\u1ec3 theo d\u00f5i l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/li>\n<li>Cho b\u1ec7nh nh\u00e2n ch\u1ee5p tim ph\u1ed5i, ch\u1ee5p khung ch\u1eadu, ch\u1ee5p c\u1ed9t s\u1ed1ng nghi\u00ean \u1edf b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng k\u00edn, ch\u1ecdc d\u00f2 \u1ed5 b\u1ee5ng ho\u1eb7c si\u00eau \u00e2m b\u1ee5ng khi c\u1ea7n.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u1eb1m ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng \u0111ang tr\u1ef1c ti\u1ebfp \u0111e d\u1ecda t\u00ednh m\u1ea1ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng, nh\u1eefng th\u01b0\u01a1ng t\u1ed5n n\u1ebfu kh\u00f4ng x\u1eed tr\u00ed k\u1ecbp th\u1eddi b\u1ec7nh nh\u00e2n s\u1ebd t\u1eed vong. H\u1ec7 th\u1ed1ng ti\u1ebfp c\u1eadn ABCDE l\u00e0 bi\u1ec7n ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ban [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u \u0111a ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i b\u1ec7nh vi\u1ec7n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng c\u00f3 nguy c\u01a1 \u0111e d\u1ea1o t\u00ednh m\u1ea1nh r\u1ea5t cao vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed ban \u0111\u1ea7u t\u1ea1i b\u1ec7nh vi\u1ec7n r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ec7nh nh\u00e2n\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u \u0111a ch\u1ea5n th\u01b0\u01a1ng t\u1ea1i b\u1ec7nh vi\u1ec7n - 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